Organization
HARDCORE SUPPORT SERVICES, INC.
Active
Organization
HARDCORE SUPPORT SERVICES, INC.
Active
Other names
Hardcore Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANDREAS ROLLE BCABA (DIRECTOR OF BEHAVIORAL SERVICES)
(772) 293-9734
Entity
Organization
Contact information
Practice address
4502 SW FLORAL ST, PORT ST LUCIE, FL 34953-7621
(772) 293-9734
(863) 223-2089
Mailing address
4502 SW FLORAL ST, PORT ST LUCIE, FL 34953-7621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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